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Wisconsin rates for HCPCS 76800

Ultrasound Spinal Canal & Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.77 / $99.78 / $124.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.87 / $176.68 / $598.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.57 / $231.15 / $891.30
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.99 / $181.12 / $277.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.71 / $599.05 / $680.75
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$284.58 / $284.58 / $284.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.90 / $284.52 / $936.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.01 / $132.11 / $305.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.39 / $427.53 / $622.88
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.68 / $284.58 / $284.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.01 / $711.00 / $936.67
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.40 / $1,036.16 / $1,036.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.80 / $251.74 / $570.79